Individual
DR. MATTHEW G MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-0528
(415) 369-1207
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-0528
(415) 369-1207
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A115686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A115686
STATE MEDICAL LICENSE
CA
Enumeration date
04/27/2010
Last updated
05/06/2020
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